A health training as a lifestyle element in the time of

Transkrypt

A health training as a lifestyle element in the time of
Guła-Kubiszewska Halina, Dębska Urszula, Kałwa Małgorzata, Starościak Wojciech. A health training as a lifestyle element
in the time of globalization. Studies of training participants in the context of selected psychological indices. Journal of Health
Sciences. 2014;4(13):116-129. ISSN 1429-9623 / 2300-665X.
http://journal.rsw.edu.pl/index.php/JHS/article/view/2014%3B4%2811%29%3A116-129
http://ojs.ukw.edu.pl/index.php/johs/article/view/2014%3B4%2811%29%3A116-129
https://pbn.nauka.gov.pl/works/509915
DOI: 10.5281/zenodo.13260
http://dx.doi.org/10.5281/zenodo.13260
The former journal has had 5 points in Ministry of Science and Higher Education of Poland parametric evaluation. Part B item 1107. (17.12.2013).
© The Author (s) 2014;
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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non
commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Conflict of interest: None declared. Received: 10.09.2014. Revised 15.09.2014. Accepted: 04.11.2014.
A health training as a lifestyle element in the time of
globalization. Studies of training participants in the context of
selected psychological indices
Halina Guła-Kubiszewska1), Urszula Dębska2), Małgorzata Kałwa1),
Wojciech Starościak1)
1)
University School of Physical Education in Wroclaw
2)
Department of Psychology, University of Wroclaw
Keywords: health training, health control placement, I corporeal, coherence,
globalization
Abstract:
Times of globalization are characterized by an increased dynamic of changes,
including first of all domains of ecology, economy, politics and also social and cultural
areas. Unification of technology and culture as well as lifestyles, consumption models
and health behaviours too are observed. Forced increased personal care about one's
health, increasing possibilities of aiding health, e.g. through participating in specially
prepared health training forms, taking care of figures by attending fashionable fitness
and aerobic classes, fitness centres, performance sports, running etc.
Our survey comprised 37 health training participants and it was conducted at the AWF
in Wroclaw in 2013/2014. Assumed general objectives of training were: strengthening
postural muscles, control over spine stabilizing techniques and also many intermediate
goals. Moreover, the subjects set themselves personal goals of participation in training.
The subjects were diagnosed in the context of selected psychological variables. The
research was aimed at an initial determination of a psychological profile of participants
in a long-term voluntary health training session. I-corporeal was diagnosed
(attributional identity aspect), locus of health control, sense of coherence and global
116
self-esteem1. Methods: health training session by M. Kałwa; questionnaires: MHLC,
SOC-29, SES, Attributional Identity.
It can be observed: the training was mostly attended by persons with a higher index of
‘I’-corporeal, higher BMI; they are satisfied with their figures and physicality. There are
dependency between quality of life in the sphere of social integration; higher results in
controllability and more possibilities to manage and influence their activities - more
satisfied with lives in an area of activity: satisfaction and productivity.
In order to obtain more justified results it would be advisable to carry out similar
research on a greater population.
Introduction
A globalization process that we have been witnessing nowadays results in the
creation of a global society (Kempny, 1998) which is unified in many areas such as
technology and culture, lifestyles 2, and models of consumption. More and more people
worldwide have similar life styles, search for similar goods, services and values, have
similar eating habits, clothes and forms of spending their free time. Changes that occur
with their number, variability and the pace of life contribute to uncertainty and
unpredictability as well as to the increase in numerous stressors. They also enforce
specific behaviours which are not always good for human health (WHO, 2002). One of
the most characteristic features here is a sedentary lifestyle with its adverse effect on
personal figure and health (Miller, Rutkowski, Mrowska, 2007; Nowak, 2008; Pańczyk
2012)3.
Good physical and mental well-being in childhood to a large extent influences
the health condition of people at later stages of their lives (Cierpiałowska, Sęk, 2006).
Health is one of the values that is changing its place in a hierarchy from a purely
instrumental one (Dębska, Guła-Kubiszewska, Bielawska, Starościak, 2008?). The area
of health undergoes numerous unification transformations 4. For many people many
physical activities are becoming a basis of another lifestyle (Woynarowska 1993)5.
Physical activity as (desired or actual) element of lifestyle of contemporary man
1
The research also comprised other psychological aspects, e.g. coping with stress and quality of life;
results to follow in subsequent articles.
2
Lifestyle – a manner of functioning of man in everyday life. It is manifested in a mode of work, play,
relaxation and recuperation of strength (Wolański, 1977). It depends on many factors such as living
conditions, an environment, social norms, personal values, attitudes, knowledge and beliefs
(Woynarowska 1993).
3
More than 50% of adults in Poland lead sedentary lifestyles and only 25-30% of the Polish population
systematically engage in healthy physical activity (Drygas et al. 2005).
4
Ways of understanding and models of behaviours begin to resemble one another. On the one hand, we
can observe a forceful movement towards increased personal care about one’s own health and assuming
responsibility for it, while on the other hand there are more and more possibilities of supporting health
and prevention, e.g. by taking part in specially prepared health training, fashionable aerobic and fitness
classes, performance sports, running etc.
5
An offer to participate in various programs, forms of health training or other types of classes is more and
more often addressed also to elderly and working people. It is aimed at improving the fitness and health
of the persons who are exposed to adverse effects of enforced working conditions. Also, the fitness, health
and independence of aging people is important here.
117
Physical activity facilitates health and well-being (DiLorenzo at al. 1999;
Ransford at al. 1996)6. The efficacy of physical activity is greater when combined with
a lifestyle (Wolański, 1977). A significant limitation in physical activity threatens the
proper functioning, adaptive abilities and man’s health (Miller, Rutkowski, Mrowska,
2007; Pańczyk, 2012). It also contributes to the development to many civilization
diseases such as atherosclerosis, coronary artery disease, hypertension, overweight and
obesity7 or even depression. It also causes disorders of various body functions,
cardiovascular (Klecha et al., 2007), respiratory, skeletal, neuromuscular systems as
well as water-electrolyte, energy metabolism, homeostasis and blood coagulation
processes (WHO, 2002)8.
To the greatest extent, the development and health is conditioned by
environmental influences and a life style (Wolański, 1977)9. The research on man’s life
style shows that the European postmodern culture imitates American models of massive
consumption culture (Melosik, 1999; Bauman, 1991; Kołakowski, 2000; Pańczyk,
Warchoł, 2008; Pańczyk, 2012).
One of the most important components of a healthy life style is regular physical
activity (Drabik 1996). Systematic physical activity for the whole life constitutes an
efficient way of delaying involution changes of the body and as a consequence
infirmities of old age. It also supports cognitive functioning and has an impact on a
higher sense of quality of life (Bielawska, Dębska, 2006; Dębska, Ułaszewska-Żuk,
2004?; Dębska, Guła-Kubiszewska, Bielawska, Starościak, 2008; Gajos et al., 2014;
Guła-Kubiszewska, 2001; Jopkiewicz, 2001; Rezner, 2001).
A mass phenomenon of man’s physical inactivity results, among other things,
from a postmodern consumption civilisation. Consumerism leads to excessive
instrumentation of the body and as such it stresses material life values (fashion for an
attractive young body and appearance, artificial beautification of the body, plastic
surgeries). Physical passiveness is a symbol of postmodern comfort, pseudo-comfort of
fullness and warmth as well as immobility (cosmetic, pharmacological, medical and
psychotherapeutic treatments), which is in opposition to effort and fatigue (Baudrillard,
1976; Krawczyk, 1998; Łobożewicz, 1988; Melosik, 1998, 1999, Pańczyk, Warchoł,
2008).
A health model is a leading direction in changing a passive lifestyle to an active
type. It is perceived as showing the greatest possibilities of influencing the society’s
health condition (Kuński 2003). Physical activity connected with health prevention
stands the biggest chance of developing in the 21st century. There are numerous sources
in the literature of the subject that indicate a necessity to use training programs,
6
In many therapies movement has long been used as an element supporting treatment and improvement
of the body and spirit (Dykcik, 2001; Ossowski, 1999).
7
According to WHO, among one billion obese persons worldwide at least 30 million are characterised by
clinical obesity (Shaw et al. 2006).
8
All over the world experts emphasize adverse effects of civilization transformations to the health of
children. A passive model of spending free time by the youngest results from their parents’ negligence and
a lack of family models as regards active leisure as well as motivation to practise games and motor
activities (Vincente-Rodriquez at al., 2008).
9
WHO reports that health depends on a life style in 55%, upon an environment in 20-22% and genetic
factors in 15-18%; the remaining several percent is an impact of health education and health care
(Pańczyk, Warchoł 2008).
118
particularly in the fight against over-weight and obesity (Łobożewicz, 1988; Melosik,
1999; Miller, Rutkowski, Mrowska, 2007; Nowak, 2008) and eliminating various spine
ailments (Nowak, 2008; Pańczyk, 2012; Pańczyk, Warchoł, 2008; Shaw, Gennat,
O’Rourke, Del Mar, 2006). These programs are also used for prevention of collapses
and osteoporosis (Nowak, 2008; Pańczyk, 2012) as well as improvement of personal
comfort and quality of life (Dębska, Ułaszewska-Żuk, 2004; Dębska, GułaKubiszewska, Bielawska, Starościak, 2008).
An imperative of our times is the need to search for various training programs in
the fight against civilization diseases and to specify optimal external loads in the context
of an effective dose of physical effort and to determine a possible negative influence of
given loads on psychophysical health condition. Results of the research that has been
carried out over recent years confirm that appropriate physical training taken up
independently of age causes certain adaptation changes in the body and a significant
factor of these changes is the frequency of the undertaken effort (Kałamacka, 2005;
Kałwa, Kosendiak A., Kosendiak J. (2008); Klecha, Bacior, Styczkiewicz, KaweckaJaszcz, 2007; Kołakowski, 2000; Krawczyk Z. et al.,1988).
What should dominate in pro-health physical activity is an organized form of
health training, not spontaneous or occasional physical recreation. A subjective sense of
quality of life depends, among other things, on such behavioural factors as health and
mobility as well as physical well-being (Guszkowska, Kozdroń, 2009). Physical activity
in the elderly10 contributes to the improvement of physical health (it increases vigour
and vitality) and mental, i.e. in the emotional sphere (improvement of the mood,
reduction of anxiety and depression, improving quality of life) (Dębska, Bielawska,
2003; Guszkowska, Kozdroń, 2009; Kałwa et al. 2010?) and cognitive (Dębska,
Ułaszewska-Żuk, 2004)11.
According to demographic forecast, the future Polish society dominated by
people at the pre-retirement and retirement age shall be a serious burden to the state due
to their poor physical fitness. Hence a need to intensify actions aimed at improving the
health condition and quality of life of the aging society (Szukalski, 2011; Wieczorowska
, Tobis, 2008; Ozaki, Uchiyama, Tagaya, et al., 2007).
Psychological context of pro-health behaviors
Research on elderly persons carried out at the beginning of the 21 st century showed that 52% of the
subjects were physically active. They pursued the following forms: everyday physical exercises, walks,
gardening and cycling. Every third subject consciously looked after their eating habits appropriate for the
age (32%), they underwent medical treatments and abstained from stimulants. Forms of active sport
playing constituted only signal behaviours of the respondents (Bielawska, Dębska, 2003). Later research
(2008) showed that 55% of Poles admitted that they had not exercised physically at all. According to
research conducted five years later, the population of physically inactive persons grew by another 4%
(Czapiński, Panek, 2013). Forecast for the year 2030 assumes the growth of this phenomenon up to 63%
of the adult population (Ptak-Chmielewska, 2004; Raport KPMG, 2012).
11
WHO recommends physical activity in prevention of chronic non-infectious diseases to people aged
18–64, i.e. a minimum of 150 minutes a week of moderate aerobic physical activity or a minimum of 75
minutes a week of intensive aerobic physical activity; activity up to 300 minutes per week gives
additional health benefits (2004).
10
119
In a bio-psychological (holistic) model, which is based on the general systems
theory, it is assumed that biological functioning, health or disease are conditioned, apart
from biological factors, also by psychological and social ones (Sheridan, Radmacher,
1998, p. 6). Health is a process that is conditioned by multiple factors (Heszen, Sęk,
2008; Schwarzer, 1997). Each of the aforementioned areas participates in experiencing a
sense of being healthy. Intervention on one level or in one part of the system may
significantly influence the other components (Sheridan, Radmacher, 1998, p. 43). This
explains how difficult it is to keep health on a constant level of functioning (Głowacka,
2000).
The process of regulation which is disturbed by an impact of internal or external
factors has a dynamic character (Dolińska-Zygmunt, 2001, p. 13). In a processual
aspect, health is defined as ‘a process resulting from mutual influences of resources that
man has at his disposal to preserve health and everyday life requirements /…/’ (Sęk,
1997, p. 51). This process is connected with changing a lifestyle to another type, the one
that will facilitate regaining balance.
In theory, undertaking activities aimed at implementing a selected pro-health
lifestyle can be considered in the aspect of health promotion. It is based on a strategy
aimed at stimulating general involvement in health problems, achieving a full and
satisfying life and a growth in social awareness of health as an imperative value (Sęk,
1997, p. 49; in: Dolińska-Zygmunt, 2001, p.17). Lalond’s health fields (1978) is one of
the concepts of health promotion that takes into account a given lifestyle. According to
this model, the health area is shaped by the biology of man, environment, lifestyle and
health care organization. The lifestyle constitutes circa 53% of the whole (Opatz, 1985;
Sadowski,1995; in: Dolińska-Zygmunt, 2001, p. 18).
Accepting and realizing the particular health lifestyle requires the awareness of
an individual, knowledge as well as skill training and behaviours which are conducive
to health12. Complex cognitive, volitional, decision-making and executive/behavioural
activeness takes part in this process. The observed individual differences comprise,
among other things, the following aspects: a health potential, frame of mind, efficiency
and physical fitness of the body, situational and habitual conditions, readiness to make
choices and take up activity aimed at health and well-being. Psychological and
subjective factors play a particular role here, for example, the awareness of personal
responsibility and undertaken activity, evaluating health, a sense of identity, the so
called resources – locus of health control, self-image and self-esteem, a sense of
coherence, a sense of self-efficacy and ways of coping with stress (Bielawska, Dębska,
2006; Dębska, Bielawska, 2003; Dębska, 2009; Dębska et al., 2008abc; DolińskaZygmunt, 2000; Juczyński, 2001; Schwarzer, 1997; Sęk, 2006; Zalewska, 1997).
We can observe a change in evaluating health – from a subordinate value it
becomes a superior one (Dębska, 2011; Dębska, Guła-Kubiszewska, Starościak,
2008b)13.
12
Health promoting behaviours are all forms of intentional activity taken up by healthy persons
(considering themselves as such) which are aimed at strengthening (protection) and increasing a health
potential (Dolińska-Zygmunt, 2001, p. 35).
13
Persons who perceive health as a superior value are more consequent in activating and maintaining
health behaviours. Research confirms that persons with internal locus of control are definitely more often
physically active, they use stimulants less frequently and are more liked by others. Inner containtment that
120
Another theoretical context of studies on conditions of health activeness is
provided by Psychology of Exercise. This is a field of study in applied sciences that
focuses on psychological conditions of taking up and continuing exercises and other
forms of physical activity. It seeks reasons, motives and explanations why people take
up numerous physical exercises (Gavin, Seguin, McBrearty, 2006). We are witnessing a
growing demand for participation in various forms of health training, exercises, fitness
training etc. and at the same time an increased possibility of putting this demand into
practice. The subjects at different ages show positive changes, e.g. people with various
diseases such as cardiological disorders, post-traumatic stress, Alzheimer, fibromyalgia
or even a tumor.
Persons who are aware of being responsible and capable of keeping good
psychophysical condition and health to a certain extent take up specified actions more
frequently, for instance, getting involved in one of the forms of physical activity. The
self-image in the case of these subjects is more positive, namely they control their
activities, they are open to others, thus they are more cheerful, do not feel lonely or
experience emptiness. Their social reception is more positive because they are more
independent and less expecting. Those who do not personally take up any pro-health
activities devolving responsibility for what happens to them on chance are negatively
received by their surroundings, they are more pretentious and dissatisfied (Dębska,
Bielawska, 2003). As research shows, persons who exercise systematically experience
changes not only in the physical sphere but also in emotional, cognitive and social ones;
moreover, they are characterized by a more positive mood, a lowered level of stress and
anxiety and satisfaction from one’s own activeness and life (Dębska, GułaKubiszewska, Starościak, 2008; Gavin, 2005; Penedo, Dahn, 2005). There is a
noticeable growth in self-acceptance in the researched women (Clone, Smith, Gugh,
2005). An improvement in the functioning of verbal memory and recalling things from
the past was observed in the elderly persons (Woo, Sharps, 2003). Changes observed in
the case of people who work too much and become overworked show that the people
who exercise are characterized by lower absence from work and greater awareness of
pro-health behaviours (Ur, 2001). People who exercise became better leaders of groups,
they are more efficient, consequent and with greater initiative (McDowell-Larsen,
Kearney, Campbell, 2002).
Other subjective conditions that predispose the subjects to participate in health training
are the following: I-corporeal as it is perceived by an individual, self-esteem, a sense of
coherence and locus of health control. These variables were used in the initial
characteristic of the female subjects participating in health training.
I-corporeal constitutes a mental representation of one’s own body and the
attitudes towards it. For contemporary people I-corporeal plays a particular role. What
can be observed nowadays is the so called cultural and social trend that ascribes a
dominant role to the human body, external appearance and even glorification of this
sphere (Kubacka-Jasiecka, 2008). There is a widespread cult of the body and everlasting
youthfulness. I-corporeal constitutes only one aspect of identity (unity) of a human
being – apart from I-psychological and I-social. While a natural interest in the corporeal
sphere and looking after it harmonizes with taking care of other spheres and it is
increases with age is conductive towards pro-health activities (Dębska, Bielawska, 2003).
121
balanced with them, we must admit that the excessive investment of care, strength and
interest in I-corporeal leads to the so called processes of embodying I. It may pose a
danger to the balance of individual identity, it constitutes a risk of behavioural disorders
and in extreme cases a threat to survival of a given person (Kowalik, 2003; KubackaJasiecka, 2008, p. 185n).
Life experiences result in the well-formed self-esteem of an individual. It
constitutes the way persons think about themselves, their attitudes towards their own I
and consequently the general mood, emotions and an attitude to tasks that a person faces
(Dzwonkowska, Lachowicz-Tabaczek, Łaguna, 2008). Rosenberg understands selfesteem as a type of an attitude towards oneself (Rosenberg,1965). It is formed at a
relatively early stage of development and it increases along with age. Its basis is subject
to gradual and slow changes (Rosenberg, 1989). A global self-esteem influences partial
assessments and emotions connected with evaluating oneself, in particular a specific
assessment of one’s own physical fitness (Wojciszke, Baryła, 2005). Persons with high
self-esteems are more extrovert than persons with low self-esteems (Halamandaris,
Power, 1997); they are more likely to engage in activities and meet challenges
(Bandura, 1986). They are characterized by internal locus of control and a stronger
conviction about their own efficiency (Dzwonkowska, Lachowicz-Tabaczek, Łaguna,
2008). A high self-esteem fosters health and greater resistance, while a low self-esteem
even with positive experiences is more associated with incidence of numerous diseases
and lower resistance (Brown, Siegel, 1988; Brown, McGill, 1989; Oleś, 2003).
A sense of coherence may play a particular role in taking care of health and
everyday health activeness in a salutogenic aspect (focused on health). It is one of
generalized resistance resources which is a relatively constant feature (Antonovsky,
1971). It is expressed in reasonableness which is evaluated by an emotional attitude
towards stimuli that an individual encounters. This belief shows that it is worth getting
involved in a given situation and fighting for something (Koniarek, Dudek, Makowska,
1993). Resources help with coping with stress – they are conducive to work out and
activate appropriate strategies of actions (Koniarek, Dudek, Makowska, 1993). A higher
sense of coherence is combined with a higher ability to cope with stressors (Koniarek,
Dudek, Makowska, 1993, p. 492). A stronger sense of coherence is connected with a
higher probability of well-being and health (Koniarek, Dudek, Makowska, 1993, p. 494)
and an even higher probability of treating new situations as challenges.
Own research
Examined persons and methods
Survey was taken by 37 health training participants (35-65 years old), conducted at
AWF in Wroclaw in 2013/14 from October 2013 till June 2014.
Assumed general objective of training:
Strengthening postural muscles, control over spine stabilizing techniques, were
composed with many intermediate goals. Moreover surveyed people put themselves
goals of participation in training.
Main objective: Improvement of physical fitness and mood, condition of the spine,
strength and economy of work. Increasing the range of motion in joints. A change in the
body composition in favour of an active tissue.
Intermediate objectives (partial): strengthening the postural muscles, improvement in
122
the symmetry of the spine motion in the frontal plane and bilateral rotation,
improvement in the pelvis stability, acquisition of abilities to determine changes in the
body efficiency, mastering the skills to offload the particular spine sections in order to
eliminate a possible pain, mastering the techniques stabilising the pelvis for the
individual application, acquiring the skill of evaluating the spine condition, motivation
to do individual exercises or another directional activity, improvement of the body
aesthetics, positive change in quality of life, skills of individual choices of an efficient
dose of training loads, motor progress manifested in stress tests, (selfcontrol/registration in a training diary).
In survey was used chosen psychological questionnaires:
MHLC-A questionnaire health control placement by K.A. Wallstone, B.S. Wallstone
and R. DeVellis adapted by Z. Juczyński (2001), which takes into account the aspect of
placing the control inside depending on other people and on accidental events. The
assessments are made on six points scale depending on the level of appropriateness for
the examined person.
The Sense of Coherence Questionnaire (SOC-29) (Antonovsky, 1987)
The scale consists of 29 questions; the possible answers are evaluated on a scale from 1
to 7 points.
A sense of coherence constitutes a permanent feature, a generalised as well as emotional
and cognitive way of viewing the world, which allows perceiving phenomena as
understandable (comprehensibility), controllable (manageability) and reasonable
(meaningfulness) (Antonovsky, 1984; 1987).
A sense of coherence consists of three elements:
Comprehensibility – is connected with a cognitive aspect of a situation; it conditions the
ability to order and structuralize received information;
Manageability – is connected with a sense of managing means and resources by
individuals thanks to which they can actively influence a situation;
Meaningfulness – is connected with an emotional attitude to a situation and stimuli
which an individual experiences. It is responsible for recognizing the value of getting
involved in a given situation, thanks to which a situation can be perceived as a
challenge, not as a threat.
The Rosenberg Self-Esteem Scale (SES) (Dzwonkowska, Lachowicz-Tabaczek,
Łaguna, 2008).
Self-esteem – a synonym of a conscious attitude towards ‘I’ and emotions connected
with my own ‘I’ and connected with cognitive judgments about myself. It is like a
subjective evaluation based on perception and self-esteem (Anastasi and Urbina, 1999;
Baumeister et al., 2003).
Rosenberg treats self-esteem as a feature or disposition relatively stable in time (Brown,
Marschal, 2006; in: Dzwonkowska, Lachowicz-Tabaczek, Łaguna, 2008). As a global
assessment, however, it can undergo changes in a shorter or longer perspective (Marsh,
Yeung, 1999).
The SES Questionnaire enables diagnosing self-esteem as a state (Cisek, Sedikides,
Heart, 2006; Lachowicz-Tabaczek, 2006) and as a feature (Donnellan, Robins, 2003).
The scale consists of 10 statements on which subjects express their opinions. Responses
are provided on a scale of 1-4 points (1 – I definitely agree, 2 – I agree, 3 – I don’t
agree, 4 – I definitely disagree).
123
Atributional Identity Questionnaire SBTA (A. Radomska)
The scale is used to measure attributional identity (I-corporeal, I-psychological, I-social)
and disintegration of identity in these three areas.
The scale is composed of 60 adjectives referring to the three diagnosed areas of identity.
Each subject gives an opinion on each of the adjectives by indicating a degree to which
it describes him/her well. The responses are placed on a scale of 1-4 points (1 – it does
not describe me at all, 2 – it rather does not describe me, 3 – it quite describes me, 4 – it
definitely describes me).
The total score in each sub-scale can range from 20 to 80 points.
Quality of Life Questionnaire Straś-Romanowska, Oleszkowicz, Frąckowiak
The questionnaire includes 60 questions. It comprises four dimensions of well-being:
psycho-physical, psycho-social, subjective and metaphysical. Results are in the range
from 60 to 240 points. High results start from the level of 180. An internal consistency
coefficient for the whole trial is 0,70.
Quality of life Questionnaire R.L. Schalock, K.D. Keith (M. Oleś adaptating). It
comprises four spheres of functioning: satisfaction (a feeling of success, pleasure,
presence of family and company); skill/productivity (connected with work or attending a
school); a possibility to act/independence (a feeling of possessing the ability to control
activities, making their own decisions on such issues as shopping, medical treatment…);
belonging to the community/integration with the community (being present in such
social groups as the church, theatre, clubs, etc.; participation in meetings and events; a
feeling of a positive relationship with other persons; a positive assessment of one’s own
life).
Questions:
1. What is a mutual arrangement of the particular ‘I’s’ measured by a scale of
identity (psychological, social, corporeal)?
2. Are the most reliable subjects characterized by a higher ‘I’ corporeal?
3. What is locus of health control of the subjects?
4. What is a level of general self-esteem of training participants?
5. What indices of a sense of coherence were achieved by training participants?
6. What is quality of life by training participants?
Results
With regard to attendance (regularity of participation in training):
Table 1. Average results in sub-scales as regards attendance at training
Numerous attendance (above 50%)
Numerous attendance (lower 50%)
Average
Average
SES
2,6
1,08
SES
2,8
0,90
MHLC
internal 28
2,48
MHLC
internal 26
3,09
placement
of
placement
of
control
control
MHLC
decided
health 18
by
5,60
MHLC
18
health decided by
124
6,17
accidental events
MHLC external
placement
of
control
SOC
29
comprehensibility
SOC
29
manageability
SOC
29
meaningfulness
I corporeal
I psychological
I social
BMI
Quality of life –
psycho-physical
psycho-social
subjective
metaphysical
satisfaction
productivity
independence
integration
17
7,83
2,3
0,45
2,6
0,51
2,4
0,51
2,31
2,07
2,15
25
54,54
1,31
1,14
1,11
3,49
3,31
52,38
50,62
51,08
24,15
21,85
28,54
20,15
3,78
4,61
4,68
1,28
3,95
1,98
3,98
accidental events
MHLC external
placement
of
control
SOC
29
comprehensibility
SOC
29
manageability
SOC
29
meaningfulness
I corporeal
I psychological
I social
BMI
Quality of life –
psycho-physical
psycho-social
subjective
metaphysical
satisfaction
productivity
independence
integration
21
4,07
2
0,37
2,6
0,50
2,7
0,49
2,35
2
2,43
24
55.27
5,22
2,93
3,34
3,48
5,30
54,53
51,33
51,27
23,13
23,5
28,56
21,5
5,32
4,20
4,27
2,09
2,19
1,21
4,23
Observed significant correlations:
1. Persons with a higher BMI index achieved significantly higher results in subscale ‘I’-corporeal (t=2,134; df = 17, p= 0.04)
2. A higher result in sub-scale ‘I’-corporeal correlates with higher results in
psycho-physical subscale of quality of life (t=1,267; df=20; p=0.04)
3. Higher results in subscale of meaningfulness means higher results in subscale
‘I’-social r=0.68; p=0.05. These persons significantly higher assessed quality of
their life in subjective subscale (r=0.48;p=0.05) and possibilities of acting
(r=0,61,p=0.05)
4. Higher results in subscale of controllability correlated with higher results in
subscales of satisfaction and productivity (r=0.46; p=0.05)
5. Persons with better attendance in classes significantly lower evaluate quality of
their life in the sphere of integration (r=-0.48; p=0.05)
6. The remaining researched dependencies are not statistically significant.
Discussion of results:
The long-term free of charge training was attended by persons on a voluntary basis. It
was interesting to note what sort of features had the people who sought such a
possibility of improving their health. According to literature reports, women turn out to
be less eager to engage in regular physical activity (Pańczyk, 2002); with age they
accept passive lifestyles more often (Zawadzka, 1993), however, these results are
125
relatively old! We are observing a change in this tendency, i.e. physical activity of
women is on the increase. It is therefore worth noticing that the proposed training
(voluntary and free) was attended by 99% of women!
It can be observed that the training was mostly attended by persons with a higher index
of ‘I’-corporeal, more concentrated on their own bodies; they are characterized by a
higher BMI. Hence it is possible that the training has become for them a chance to lose
some subjectively felt weight. However, a higher result in psycho-physical subscale of
quality of life leads to the conclusion that they are satisfied with their figures and
physicality. So the training rather reinforces their feeling of satisfaction from this
sphere. The result showing a dependency between quality of life in the sphere of social
integration and attendance in training would suggest that participation in training is for
them an occasion to make social contacts and to integrate with others. The training
participants, who are characterized by more understanding for everyday functioning,
establish more positive social relationships and are more satisfied from their lives in a
subjective area. The persons who had higher results in controllability and had more
possibilities to manage and influence their activities are more satisfied with their lives in
an area of activity: satisfaction and productivity. As research reports show, persons at
various ages define a goal of physical recreation slightly differently, i.e. starting from
the improvement of figures in the case of the youngest, maintaining good fitness with
middle aged people and finishing with rather undetermined goals at late adulthood. This
aspect of the results shall be discusses in the next article.
Implication
The research group was not large enough and poorly diversified; it is certain that similar
training forms are attended by special persons with determined needs and particular
mental features e.g. more resourceful, determined, and aware of goals that they want to
achieve.
We can conclude that people who apply for participation in similar health programs
belong to a group of so called satisfied with their lives as these who are dissatisfied
most frequently remain in the sphere of ‘complaining’ with no chance ‘to actively take
their own life in their hands’.
In order to obtain more justified results it would be advisable to carry out similar
research on a greater population.
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